The rewarding recovery study: a randomized controlled trial of incentives for alcohol and drug abstinence with a rural American Indian community

McDonell, Michael G.; Skalisky, Jordan; Burduli, Ekaterina; Foote, Albert; Granbois, Alexandria; Smoker, Kenneth; Hirchak, Katherine; Herron, Jalene; Ries, Richard K.; Echo‐Hawk, Abigail; Barbosa‐Leiker, Celestina; Buchwald, Dedra; McPherson, Sterling

doi:10.1111/add.15349

Cited by 19 publications

(22 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The study’s results are consistent with those of another single-site clinical trial conducted in partnership with a Northern Plains reservation–based community, in which 112 participants received a contingency management intervention that was targeted at both alcohol and drug abstinence . In that study, individuals assigned to 3 different contingency management interventions had a higher likelihood of submitting EtG-confirmed alcohol-abstinent urine samples relative to the control group.…”

Section: Discussionmentioning

confidence: 96%

“…Qualitative research suggested that contingency management should be adapted to include incentives that supported family relationships and integrated indigenous language and culture . In an initial study of a contingency management intervention that targeted alcohol and drug abstinence in a single Northern Plains community, contingency management was associated with reductions in alcohol and stimulant drug use …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Incentives for Alcohol Abstinence in Partnership With 3 American Indian and Alaska Native Communities

et al. 2021

View full text Add to dashboard Cite

and Alaska Native communities are disproportionately affected by problems with alcohol use and seek culturally appropriate and effective interventions for individuals with alcohol use disorders.OBJECTIVE To determine whether a culturally tailored contingency management intervention, in which incentives were offered for biologically verified alcohol abstinence, resulted in increased abstinence among American Indian and Alaska Native adults. This study hypothesized that adults assigned to receive a contingency management intervention would have higher levels of alcohol abstinence than those assigned to the control condition. DESIGN, SETTING, AND PARTICIPANTSThis multisite randomized clinical trial, the Helping Our Native Ongoing Recovery (HONOR) study, included a 1-month observation period before randomization and a 3-month intervention period. The study was conducted at 3 American Indian and Alaska Native health care organizations located in Alaska, the Pacific Northwest, and the

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Effect of Incentives for Alcohol Abstinence in Partnership With 3 American Indian and Alaska Native Communities

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Similarly, the evidence of the impact of community-based addiction recovery resources, such as mutual support groups with Indigenous people, are scarce [40,41]. Continuous efforts are being made in clinical trials in the United States to improve study design and increase participation rates in research with Indigenous peoples [42].…”

Section: Discussionmentioning

confidence: 99%

‘Even though you hate everything that's going on, you know they are safer at home’: The role of Aboriginal and Torres Strait Islander families in methamphetamine use harm reduction and their own support needs

Gendera

Treloar

Reilly

et al. 2022

Drug and Alcohol Review

View full text Add to dashboard Cite

Introduction First Nations people who use methamphetamine are overrepresented in regional and remote Australia and more likely to turn to family for support. This can place strain on families. The support needs of family members of individuals using methamphetamine are poorly understood. Methods We conducted 19 focus groups and seven interviews with mostly First Nations community, family members and service providers. In total, 147 participants across six sites participated as part of a larger study investigating First Nations perspectives of how to address methamphetamine use and associated harms. We applied a social and emotional wellbeing framework to examine support needs and role of family in mitigating methamphetamine harms. Results Findings highlighted the importance of families in providing support to people using methamphetamine and in reducing associated harms, often without external support. The support provided encompassed practical, social, emotional, financial, access to services and maintaining cultural connection. Providing support took a toll on family and negatively impacted their own social and emotional wellbeing. Discussion and Conclusions First Nations families play an important and under‐recognised role in reducing methamphetamine‐related harms and greater efforts are required to support them. Professional resources are needed to deal with impacts of methamphetamine on families; these should be pragmatic, accessible, targeted and culturally appropriate. Support for families and communities should be developed using the social and emotional wellbeing framework that recognises wellbeing and healing as intrinsically connected to holistic health, kinship, community, culture and ancestry, and socioeconomic and historical influences on peoples' lives.

show abstract

“…These adaptations generally were aligned with the ceremonies, practices, and teachings of local communities. In addition, during a contingency management RCT with an American Indian Tribe (resulting in reduced alcohol use within the experimental group), adaptations were made to provide incentives that were culturally relevant to participants, such as providing reinforcers using the community’s Indigenous language as well as gifts such as beading supplies and fishing gear (McDonell et al, 2021).…”

Section: Psychotherapy With Indigenous Clients: Four Pathsmentioning

confidence: 99%

What are the best practices for psychotherapy with indigenous peoples in the United States and Canada? A thorny question.

Wendt¹,

Huson²,

Albatnuni³

et al. 2022

Journal of Consulting and Clinical Psychology

View full text Add to dashboard Cite

Objective: This conceptual article addresses "best practices" for Indigenous Peoples in the United States and Canada. This topic is "thorny" both pragmatically (e.g., rare representation in clinical trials) and ethically (e.g., ongoing settler colonialism). Method: We outline four potential approaches, or "paths," in conceptualizing best practices for psychotherapy: (a) limiting psychotherapy to empirically supported treatments, (b) prioritizing the use of culturally adapted interventions, (c) focusing on common factors of psychotherapy, and (d) promoting grassroots Indigenous approaches and traditional healing. Results: Lessons from our four-path journey include (a) the limits of empirically supported treatments, which are inadequate in number and scope when it comes to Indigenous clients, (b) the value of prioritizing interventions that are culturally adapted and/or evaluated for use with Indigenous populations, (c) the importance of common factors of evidence-based practice, alongside the danger of psychotherapy as a covert assimilative enterprise, and (d) the need to support traditional and grassroots cultural interventions that promote "culture-as-treatment." Conclusions: A greater commitment to community-engaged research and cultural humility is necessary to promote Indigenous mental health, including greater attention to supporting traditional healing and Indigenous-led cultural interventions. What is the public health significance of this article?This article provides an overview to best practices for clinical psychologists working with Indigenous individuals and communities. Psychologists need to balance the delivery of evidence-based treatments with Indigenous Peoples, with the need to take caution to avoid harm and also support Indigenous-led cultural interventions.

show abstract

The rewarding recovery study: a randomized controlled trial of incentives for alcohol and drug abstinence with a rural American Indian community

Cited by 19 publications

References 42 publications

Effect of Incentives for Alcohol Abstinence in Partnership With 3 American Indian and Alaska Native Communities

Effect of Incentives for Alcohol Abstinence in Partnership With 3 American Indian and Alaska Native Communities

‘Even though you hate everything that's going on, you know they are safer at home’: The role of Aboriginal and Torres Strait Islander families in methamphetamine use harm reduction and their own support needs

What are the best practices for psychotherapy with indigenous peoples in the United States and Canada? A thorny question.

Contact Info

Product

Resources

About